29-258 D.H.
Enterprises Designer: Date: Sheet# of
1-413-863-2081 Designed For: Phone#:
MA Lic#059414 MA Reg#112359 Address: _ Job Location:
C9
vn�
(A
�C7
4:7
vo
17>
NZ
A5
* •
1 ,
1 -
I
1
}
i
i !
d
r
� � I
,
9
qq
� 1
�r
i f �
I
r
r:
C
1 I
I
i
, III
I I
I I I
I
I
I
I i
1 i I
j
i
i I
,
' I
L
_ I
4
i I I
f
_.,
i
l ! ,
f
:
I
r !
,
,
I I
,
i
,
a
I � 1
i
r
r I
I
D.H. _ �.
EY1tE'Tp;isL Designer: Date: ` -�ltr°` f> Sheet+ or
1-413-863-2081 Designed For: aid Phone#:
MA uc#059414 MA Reg#112359 Address `i b C'r r Job Location: � t
of Pages
Page No.
D.H. ENTERPRISES
Remodeling Contractor
11 Oak St.
GILL, MA 01376
(413) 863-2081
MA Lie. #059414 MA Reg. #112359
PROPOSAL SUBMITTED TO PO"tJ PHONE DATE
STREET JOB NAME
CITY,STATE and ZIP CODE JOB LOCATION
ARCHITECT DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for-
Hir prapV[Sr hereby to furnish material and labor—Complete accordanrp h a6ove specifiLtions, for the s4 of:
dollars($
a ment tp be made as follows:
All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized
manner a cording to standard practices.Any alteration or deviation from above specifications Signature
involving Cextra costs will be executed only upon written orders, and will become an extra
charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. Note:This proposal may br
Our workers ar withdrawn by us if not accepted with days.
e fully covered by Workman's Compensation Insurance.
Arreptancr of Proposal —The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature4-Aa
to do the work as specified. Payment will be made as outlined above.
Sign
J)rapasal Page No. of Pages
D.H. ENTERPRISES
Remodeling Contractor
11 Oak St.
GILL, MA 01376
(413) 863-2081
MA Lic. #059414 MA Reg. #112359
�PPRO
ST�PSALSUBMITTEPF PHONE DATE
P 0
ST Effer '- ' JOB NAME
3L7/ j�jl
CITY,ST FE and ZIP CODE JOB LOCATION
F/0 r—rj,1jC4P Ic
ARCHITECT I DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for:
67 r_1
14,
.............
7................ .............. ...........................A-,4-4......... ..........
f
.0
ry
..........
e A .............hacrs-............
/*
k4.............�o"r tr..............II-om .................
..........
..... ........ rec.-z- al, In 1. , -
P/
.... ......-J�r, ...................... .......... .................
�c............
...........�—/ .......... ...............
.......... ...
.............. .............
.......... .............
..............
...........
.....4............ tj s
............
aJ
............ LVCjt 5("LIL ..........
t .............
......... T�-
.............
.......... ........... ..........
.................. ................. ..........
Aa4 k VN 0-,S-J2 &UUC6j t/".L r V,/ C ,/S
iz an,,� L C 3--!�
Hir prapMr hereby to furnish material and labor complete in accordance with above specifications, for the sum of:
dollars($
Payment to be made as follows:
All material is guaranteed to bJ as specified. All work to be completed in a workmanlike
manner according to standard practices.Any alteration or deviation from above specifications Authorized
Signature
involving extra costs will be executed only upon written orders, and will become an extra
charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire,tornado and other necessary insurance. Note:This proposal may be
Our workers are fully covered by Workman's Compensation Insurance- withdrawn by us if not accepted within days.
Arcrptaurr of Proposal -The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance: Signature
J�
0) CO
p � Do
CO RAW
AF
fte
ig, ix
1
�3.
„G, itr a Nart4alli tan z Z
�18358C}'ISS[tt3 -
L, DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR '212 Main Street • Muuicip-d Building '
Northampton,MA 01060
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as hds/her construction sup��: .-isor. The state defines "Homeowner” as, " Person(s)
who owns a parcel on which he/she resides or intends to be, a one or-f►voanu —-_
dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a
home owner."
The bbilTing department for the City of Northampton wants-any person(s)-who-seek-t-o -
use the home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfill),
sonotube holes (before pour). a roueh building inspection (before work is
concealed) insulation inspection (if required) and a final building inspection.:The
building department requires these inspections before the work is concealed,failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing&gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
- permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
-- _ issued-to me.
Dates
Address of work
location
r
0-
F �1I IIf ;CII"fI1�3111�f011
A J E a5%ItchnCClle'
4. DEPARTMENT OP BUILDri,,G INSPECTION'S
212 Main Strcct ASunicipal Building
Northampton, ATass. 01060
i
i
WORI=I RIS CO�'fPrNSA MN MSURA_NCE Al'�'D�A.N,
%,I Lb a principal place of businessfresidence at: -
C( 37 (phone')Y��' J6
do hereby ccrdf,, under the"paint and penalties of pegury, hal
( ) I am an employer providing the follo.ving %vorkcr's comneas-nao, coverage for Iny
etmplove es worljng on this job:
omuranc Coax M,) (Polio:Number) -- (E:•oir .d6r.Dzy)
I
i
O I am a sole proprietor, general contractor or homeowner (cc;e one) aid hive hired
the contractors G,-Led below who have the `6UoL ine workees com:)en_taion policies:
i
i
(1 aMC Oi CO:1t7nclor) Gnsumnc; Company t'auc,- Nlunt-Z ) _- �':Jir'JtOi' D.-11C) -
i -
(Namc of Concacior) `umb_r) Datt)
(N,me of Cona-aao;) (lMSwudnc; Compan)•/PoL•c}- Nasbzr) (Expim6on Daic)
(Name of Contractor) (Ina== COMC.any/policy Number) (Etipitzuoa Daft).
li (aCS[3 d i��eal$cC.ifnccc -V incur iafora.::ioa pct lniac to.1!
I ( I_am_a sole-proprietor and have no one worldng for me.
I ( ) I am.-a home owner performing all Lbe work myself.
NOTE:piece be evrzrt ti..vb�jc hcmeo Caen utio cxaplay pc r"=to do c=_—=�,Do Cr rc;z r..-ark on,d,-,-U-Z of
not more tl:n ter t_riix in«b-b 1bc bomoo+wc rrsda a oa the ffvuz d3 zpp ou rtc -=tb=,o wt ox C,-..c--cd to be
—1plor '—the..v S lice Aa(GO 52=1(5)1 zppiicaaw by n homo*a-Dcr fc:lip_or pcmit=7 c'-id=oc cbc
1c,-3 cLr=of ea a.?loyer under dw Workda Coaspaasatioa AeL '
I undenyad tha a Dopy or thin cat®eat may bo fo.�.nrded to the[}��of 1..�.�..-I AeodeC�'OQ•oe oC 4au�voa for th.
li opveiy^c vei�eslioo nad the L-ilta-c tc seeurs toveczdc taxlc socion 25A of h{QL l52 tea Irk�e the i�maioa of c-imia_�l peu�.ltie
conxi sxg of a fiat of up to S 1X00-00 ar-tor�o�or up to Doc y-ar L-4 coil pcaahio is dS form or.Slop W o Ord.aad a
ruse 01 S 100.00 a day Lp-=
- 99= ForPermit Numtxs Lot
>= f LiccnscslPCn lul —tote
J '
SECTION 8 CONSTRUCTION SERVICES f ?
8.1 Licensed Construction Supervisor: /` Not Applicable ❑
Name of License Holder Y�+ ►�T �• PS w C/rte
License Number
Address Expiration Date
�> i YL
Sig Telephone
_a�-.,-:u'°maw�- =�? . �.' '�"�:�'9".����a._ ?"° �.fiYk3
9Fte is ieilrktomem ro�remerrt=Contra u - _, Not Applicable ❑
Company Name Registration Num a-- r -- —
T) k . fir, ��-�, I /,)-35-q
Address E i a io Date
Telephone
SECTION 10 WORKERS'COMPENSATION INSURANCEAFFIDAVIT(M:G.L.c.152,:§25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... �_ No......
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families
and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts
- as supervisor.CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there
is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm
structures.A person who constructs more than one home in a two-vear period shall not be considered a homeowner.
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building OfficiaL that he/she shall be
responsible for all such work performed under the building aermit.
As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers-to
Employees for injuries not resuiting in Death)of the Massachusett s Gcncrsl L44,s Annotated,you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
r
i
1
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑_ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors D
Accessory Bldg. E2rDemolition ❑ New Signs [0] Decks [p Siding[C7] Other[C7]
Brief DescriptW�ippn of Pjopos d / / y
Work: L'*,7 G AD X 1?rte
Alteration of existing bedroom Yes No Adding new bedroom Yes Gam' No
Attached Narrative Renovating unfinished basement Yes _�No
Plans Attached Roll -Sheet
sa.�If°New=�ouse�nd-�o� d�#�on�o� �n `�ousm .corri ietet�e�' to oilr►la
a. Use of building:One Family Two Family Other 1
b. Number of rooms in each family unit: / Number of Bathrooms 1
c. Is there a garage attached? T. 1.e qcr CL is0
d. Proposed Square footage of new construction. '6 _Dimensions X(.- a y
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each 1
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft.of wetlands? Yes �Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade `f
k. Will building conform to the Building and Zoning regulations? Yes No.
1. Septic Tank /VO City Sewer Y Private well City water Supply
SECTION 7a-OWNER-ALIT HORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT.OR CONTRACTOR APPLIES FOR BWOING—PERMIT
I, t//V D/t (00 C as Owner of the subject
property
hereby authorize VRn,7 I-! <C�c l�
to act on my behalf, i II matte ative to work authorized by this building permit application.
-Pit
Signature of 0 er v Date
I, 00�z ,� �P cccC/�C as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
L c�
Print Name
Signature "Owner/Age Date
« ^
_
�� ��
Section 4. ZONING All Informati6h Must Be Completed.Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front T
Rear 2,0 03
Building Height
Bldg. Square Footage %
Open Space Footage %
(L.ot area minus bldg&paved
(volume I&Location) V
A. Has a Special Perm it/Varia nce/Fi nding ever been issued for/on th
IF YES, date issued:! cr
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONrr KNOW 0 YES c7, (k
IF YES: enter Book Page� and/or Document#
�
B. Does the site contain a brook, body of water orwet|ands NO x��- DONT VV �~�KNOW YES x_�
IF YES, has a permit been or need to be obtained from the Conservation Commission?
~
Needs to be obtained ��^ Obtained ^~~� Date Issued:
�_/ �~� ' '
C. Dn any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO
'
IF YES, describe size, type and |onation:
E Will the construction activity disturb grading or filling)over 1 acre mis it part ofo common plan
that will disturb over 1acre? YES NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
a " Department us"nly
� vc City of Nortf ampton Pe
5
Building Department
-��6070a63� 212 Main Street
Room 100a r -
Northampton,. MA 01060 e -
phone 413-587-1240 Fax 413-587-1272 'lo �
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 =SITE INFORMATION'
1.1 Property Address: This section to be completed by office
i
Tone` Ove-IWy rs ict
Flo raw
i�Elm 5�D�stPct .`. _ _ CB"Dstnct
SECTION 2-`PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mpthfw Address:
d2.j- �'I P, Telephone I l
Signature
2.2 Authorized Agent:
s° C f l 6>
Name(Print Current Mailing Address:
Signatur Telephone
SEGTION3-ESTIM' TED'CONSTRUCTION'COSTS
Item Estimated Cost(Dollars)to be Official Use Only
comp leted by ermit applicant
1. Building Jr (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
.,� :Construction from 6 �-�
3. Plumbing Building Permit'Fee
4. iviechanicai(i-ivAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number d
This Section For OMiicial Use Only
Date
Building Permit Number. Issued:
Signature:
i
Building Commissionerlinspectorof Buildings Date
File#BP-2006-0818
APPLICANT/CONTACT PERSON DANNY L HESCOCK
ADDRESS/PHONE 11 OAK ST GILL (413) 863-2081
PROPERTY LOCATION 391 BROOKSID CIR
MAP 29 PARCEL 258 001 ZONE URA�J IAP W
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid '
Typeof Construction: CONSTRUCT 10 X 12 BREEZEWAY&24 X 22 ATT GARAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building,Plans Included:
Owner/Statement or License 059414
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
_JZApproved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Co sion
Signature of Building Official Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
391 BR130X$WE-CtR BP-2006-0818
G1S#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0818
Proiect# JS-2006-1254
Est. Cost: $32000.00
Fee: $97.20 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: DANNY L HESCOCK 059414
Lot Size(sq. ft.): 16117.20 Owner: POOLE LINDA J
Zoning:URA/WSP Applicant: DANNY L HESCOCK
AT. 391 BROOKSIDE CIR
f pplicant Address: Phone: Insurance:
11 OAK ST (413) 863-2081
GILLMA01376 ISSUED ON:311312006 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 10 X 12 BREEZEWAY & 24 X 22
ATT GARAGE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 3/13/2006 0:00:00 $97.201903
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo